DR. KEITH WILSON EDMONDS ED.D. LPC NPI 1073844395

NPI Information

NPI: 1073844395
Provider Name: DR. KEITH WILSON EDMONDS, ED.D., LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3604 WHEELER RD STE A1
AUGUSTA, GA
ZIP 30909
Phone: (706) 951-7644
Get Directions

DR. Keith Wilson Edmonds, ED.D., LPC is a mental health counselor in Augusta, GA. DR. Keith Wilson Edmonds, ED.D., LPC NPI is 1073844395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3604 WHEELER RD STE A1
AUGUSTA, GA
ZIP 30909-562
Phone: (706) 951-7644

The NPI 1073844395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/26/2010 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC004579	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »